Web-economic-crisis-health-systems-and-health-web

Web-economic-crisis-health-systems-and-health-web Web-economic-crisis-health-systems-and-health-web

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Country profiles of health system responses to the crisis | Albania 325 Provider infrastructure and capital investment • No response reported. Priority setting or protocols to change access to treatments, coordination of care and patterns of use • No response reported. Waiting times • No response reported. Health promotion and prevention • No response reported.

Armenia Lyudmila Niazyan and Varduhi Petrosyan Economic trends • Per capita real GDP contracted by 13.2% in 2009, which was the most substantial slowdown in the European region in that year. Real GDP growth rebounded in 2010 and 2011 to be on par with mean growth rates in Europe. During the crisis in 2009, deficit levels as a share of GDP increased as total government spending did not decrease along with the overall economy. The health share of government spending, however, has been progressively lower in every year from 2008 to 2011. • Unemployment rates have been below the European average throughout the crisis. • The primary source of health financing has been OOP payments since the early 2000s; OOP spending levels continued to increase from 2008 to 2011. While there had been a convergence in the proportion of spending from OOP payments and from the government, these two sources of funds have diverged once more since 2008 as public per capita spending decreased (Armenia: Figs 1 and 2). Policy responses Changes to public funding for the health system • No response reported. Changes to health coverage Population (entitlement) • No response reported. The benefits package • No response reported. User charges • Introduction of user charges for emergency care (exemption for emergency resuscitation) and gynaecological services (2011) and for cancer treatment and treatment for sexually transmitted infections (2012).

Country profiles of <strong>health</strong> system responses to the <strong>crisis</strong> | Albania<br />

325<br />

Provider infrastructure <strong>and</strong> capital investment<br />

• No response reported.<br />

Priority setting or protocols to change access to treatments, coordination<br />

of care <strong>and</strong> patterns of use<br />

• No response reported.<br />

Waiting times<br />

• No response reported.<br />

Health promotion <strong>and</strong> prevention<br />

• No response reported.

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